College of Massage Therapists of British Columbia (CMTBC) Practice Exam

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What is the recommended treatment for an acute muscle contusion?

Gentle passive range of motion of joints above and below the contusion site
Immediate ice application and compression
Strict rest and immobilization of the affected area
Stretching the affected muscle to increase flexibility

The correct answer is: Gentle passive range of motion of joints above and below the contusion site

The recommended treatment for an acute muscle contusion is immediate ice application and compression. This approach is beneficial because it helps to reduce swelling and inflammation that can occur after the injury, ultimately aiding in the healing process. Ice application constricts blood vessels, which minimizes bleeding into the tissues, and compression helps to further control swelling. Gentle passive range of motion might be helpful in the days following the initial injury to prevent stiffness and maintain function, but it is not the first-line treatment immediately after a contusion occurs. Strict rest and immobilization is not advisable as complete immobilization can lead to stiffness and a prolonged recovery time. Similarly, stretching the affected muscle should be avoided initially to prevent exacerbating the injury and to allow the healing process to take place without additional strain on the damaged tissues. Addressing the initial response with ice and compression is crucial for optimal recovery.